Provider Demographics
NPI:1518040914
Name:PALISOC, ADORACION MANALAD (MD)
Entity Type:Individual
Prefix:DR
First Name:ADORACION
Middle Name:MANALAD
Last Name:PALISOC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TEODUEYO
Other - Middle Name:CENENA
Other - Last Name:PALISOC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5224 VERSAILLE CT
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867
Mailing Address - Country:US
Mailing Address - Phone:714-974-4321
Mailing Address - Fax:714-974-4458
Practice Address - Street 1:5224 VERSAILLE CT
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867
Practice Address - Country:US
Practice Address - Phone:714-974-4321
Practice Address - Fax:714-974-4458
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC0428252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry